https://scholars.lib.ntu.edu.tw/handle/123456789/462559
Title: | Separation of thoracopagus conjoined twins. A case report | Authors: | Chiu C.-T. Hou S.-H. HONG-SHIEE LAI PO-HUANG LEE Lin F.-Y. Chen W.-J. Chen M.-T. Lin T.-W. Chu S.-H. |
Issue Date: | 1994 | Journal Volume: | 35 | Journal Issue: | 5 | Start page/Pages: | 459-462 | Source: | Journal of Cardiovascular Surgery | Abstract: | A pair of thoracopagus conjoined twins with a connection at the atrioventricular groove of both hearts and a huge conjoined liver were surgically separated. An aortopulmonary shunt was created for Twin B, a victim of complex congenital heart disease with hypoplastic right heart syndrome, who died 5 hours later. However, Twin A survived after prolonged endotracheal intubation and parenteral nutrition. He survived for 7 months, and went home, but finally died of sepsis. In reviewing 47 pairs of surgically separated thoracopagus conjoined twins, in 30 pairs of type A (Leachman's classification, completely separate hearts), 42 patients survived (70%); in 5 pairs of type B (atrial connection only), one patient survived (10%); in 9 pairs of type C (both atrial and ventricular interconnections), none survived; in 3 pairs of unknown type, 2 survived. Total survival rate of surgically separated thoracopagus conjoined twins was 47.9%. The survival rate was 38.2% in those operated in the neonatal period (n = 34) and 63.6% in those operated over 1 month of age (n = 44) (p = 0.016). In conclusion, thoracopagus conjoined twins are rare. Although its separation carries a high risk, especially in those with cardiac connection, this report confirmed that separation is still feasible under proper preparation and planning. |
URI: | https://www.scopus.com/inward/record.uri?eid=2-s2.0-0028600618&partnerID=40&md5=c357bf1b691d41a4c45f4503b325f483 https://scholars.lib.ntu.edu.tw/handle/123456789/462559 |
ISSN: | 0021-9509 | SDG/Keyword: | article; case report; congenital heart malformation; conjoined twins; endotracheal intubation; heart; human; infant; liver; male; parenteral nutrition; sepsis; shunting; survival rate; Case Report; Electrocardiography; Fatal Outcome; Heart Defects, Congenital; Human; Infant; Liver; Magnetic Resonance Imaging; Male; Methods; Tomography, X-Ray Computed; Twins, Conjoined |
Appears in Collections: | 醫學系 |
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